Sterile Processing Tech

STERILE PROCESSING TECH

This checklist was electronically signed on (Today’s date)

Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Proficiency Scale:

1 . No Experience

2 . Need Training

3 . Able to perform with supervision

4 . Able to perform independently

Processing

Decontamination

Steam Sterilization

Tests

Assembly andPreparation

I hereby certify that ALL information I have provided on this skills checklist and all other documentation is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.

Single instruments
Endoscopes
Repair
Sets/ Trays
Care of instruments
Other (list):

Manual cleaning
Washer sterilizer
Soiled linen
Disinfectants
Sharps
Disposable items
Cleaning equipment
Detergents
Dress code
Other (list):

Chart recording
Biological monitoring
Time
Testing/ Monitoring
Other (list):

Wrapping materials
Autoclave tape
Dust covers
Proper towel/ linen folding
Proper labeling
Expiration dates
Packing for steam
Heat sealing
Instrument count sheets
Placing instruments on trays
Other (list):

Test control
Recording
Other (list):